Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.33 / $6,603.70 / $13,229.00	Facility		$737.33	$6,603.70	$13,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.80 / $5,998.05 / $10,162.83	Professional		$524.80	$5,998.05	$10,162.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,714.60 / $6,362.05 / $14,836.27	Professional		$4,714.60	$6,362.05	$14,836.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $718.15 / $1,990.00 / $16,534.50	Facility		$718.15	$1,990.00	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $718.15 / $718.15 / $8,842.45	Professional		$718.15	$718.15	$8,842.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.75 / $857.75 / $7,227.90	Facility		$857.75	$857.75	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.84 / $1,793.45 / $14,163.21	Professional		$420.84	$1,793.45	$14,163.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $645.69 / $2,821.67	Facility		$332.00	$645.69	$2,821.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,208.87 / $6,758.77 / $10,163.12	Professional		$5,208.87	$6,758.77	$10,163.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,194.15 / $6,566.10 / $9,089.71	Professional		$2,194.15	$6,566.10	$9,089.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,489.87 / $14,489.87 / $14,489.87	Facility		$14,489.87	$14,489.87	$14,489.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $582.49 / $6,037.00 / $14,542.58	Professional		$582.49	$6,037.00	$14,542.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,846.00 / $12,321.00 / $46,444.00	Facility		$2,846.00	$12,321.00	$46,444.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,572.63 / $8,119.15 / $18,399.11	Professional		$5,572.63	$8,119.15	$18,399.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $633.36 / $633.36 / $886.69	Facility		$633.36	$633.36	$886.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $992.49 / $5,988.58 / $9,724.89	Professional		$992.49	$5,988.58	$9,724.89